A 63-year-old man presents with severe headache, right-sided weakness and BP 224/118 mmHg. CT head shows a left basal ganglia intracerebral

Question

A 63-year-old man presents with severe headache, right-sided weakness and BP 224/118 mmHg. CT head shows a left basal ganglia intracerebral haemorrhage. He takes no anticoagulants. GCS is 14 and he is protecting his airway. What is the most appropriate next step in management?

Accepted Answer

Admit to hyperacute stroke care with controlled blood pressure lowering and neurosurgical discussion if indicated

Answer

Give alteplase because symptoms began within 4.5 hours

Answer

Lower systolic BP to 80 mmHg as quickly as possible

Answer

Start aspirin 300 mg immediately

Answer

Discharge if neurological signs improve

Spontaneous intracerebral haemorrhage — SCE Acute Medicine MCQ

A 63-year-old man presents with severe headache, right-sided weakness and BP 224/118 mmHg. CT head shows a left basal ganglia intracerebral haemorrhage. He takes no anticoagulants. GCS is 14 and he is protecting his airway. What is the most appropriate next step in management?